SP-18 The Role of Extraosseous Lesions in Orofacial Pain: Newly Discovered Extensions of Odontogenic Lesions Cause Pain That Mimics Non-odontogenic Pain
CE Hours: 1.0
Description: This presentation will demonstrate the role of extraosseous lesions (EOLs) in orofacial pain. Micro-photography will reveal intricate features that cannot be viewed using current radiography. Preliminary research has found EOLs are biofilm habitats and vehicles to extend from one tooth or implant to other teeth, implants, and/or adjacent anatomical sites and structures. Once two or more sites are established and interconnected, EOLs act as complex infections, capable of further proliferation and regeneration if only partially removed. Although the developmental process is usually asymptomatic, idiopathic pain is the most common eventual presentation. Cases will be presented that show EOLs are important parts of advanced infection processes and persist after appropriate endodontic treatment, extraction, or implant placement. They can proliferate inside alveolar mucosa and maxillary sinuses, and around neurovascular bundles, and thereby cause various types of pain that are misdiagnosed as “non-odontogenic”. These cases will demonstrate how accurate diagnosis and treatment can result in complete resolution of both the infection and its associated pain, and long-term retention of the involved teeth and implants
Learning Objectives:
- Add extraosseous lesions to the differential diagnosis of orofacial pain.
- List three or more key radiographic features of teeth that are commonly associated with extraosseous lesions.
- List three or more clinical findings or presentations that may be associated with extraosseous lesions.
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S. Craig Schneider, D.D.S., M.A.G.D., L.L.S.R.
Dr. S. Craig Schneider received specialty certification in endodontics from the University of Pennsylvania, and a D.D.S. degree from the University of Maryland. He is a Diplomate of the American Board of Endodontics, and a Master of the Academy of General Dentistry. He maintains both a full-time practice limited to advanced endodontics and microsurgery in Columbia, Md.; and a teaching position as a Clinical Assistant Professor (in the Division of Endodontics) at the University of Maryland School of Dentistry. He received the honorary title of Master Dentist from the Maryland Senate, the AGD's Lifetime Learning Service Recognition Award, and the ADA's Dentist Recognition Award.
S. Craig Schneider, D.D.S., M.A.G.D., L.L.S.R.
In accordance with this policy, I declare I have a past or present proprietary or relevant financial relationship or receive gifts in kind (including soft intangible remuneration), consulting position or affiliation, or other personal interest of any nature or kind in any product, service, course and/or company, or in any firm beneficially associated therewith, as indicated: Sonendo Inc.:Consultant